At a glance
Get Wisp if
Women 40 and over with pharmacy coverage worth using, who want FDA-approved rather than compounded hormones and are comfortable paying a $99 consult fee separately from the medication.
Skip if
Women in early perimenopause under 40, anyone who wants baseline bloodwork before starting hormones, anyone who needs a single predictable monthly number, and anyone who wants to see the credentials of the clinician prescribing for them.
How we verified Wisp
Last pass July 24, 2026 · Method: Direct fetch of hellowisp.com/shop/menopause including its FAQPage JSON-LD, which carries the cost, insurance, eligibility, state-coverage and turnaround answers verbatim. Product prices read from the shop grid on the same page. Affiliate destination confirmed by following the RevOffers redirect to hellowisp.com/shop/menopause. Leadership, clinician credentials, cancellation policy and any menopause-specific review base were not fetched in this pass.
Confirmed on official sources
- Menopause Consult $99, including 3-month access to the care team
- Medication costs are separate and paid at a local pharmacy; insurance or the Wisp Discount Card may be applied there
- Wisp does not accept insurance for the consult; consult and treatments are HSA/FSA eligible
- Menopause care offered in all 50 states
- HRT formulary is estrogen and progesterone in patch, suppository and topical forms
- Treatment decision within 72 hours; most prescriptions sent to the pharmacy within about 3 hours
- Eligibility 40+, or under 40 after surgical removal of both ovaries and uterus; estriol face cream 35+
- Phone or video call required for patients in AR, DE, DC, KS, MS, NM, RI, VT and WV
- Estradiol vaginal cream from $20, estriol face cream $99, non-hormonal vaginal moisturizer from $60
- Patient dashboard with HIPAA-aligned secure messaging
Still resting on third-party reports
- The actual pharmacy cost of a typical estrogen plus progesterone regimen
- Whether and at what price the consult must be repeated after the 3-month care window
- Named clinicians and their credentials behind the 'certified menopause expert' claim
- Leadership, corporate entity and written cancellation or refund policy
- Any menopause-specific independent rating
We verify against the provider's own public pages without signing up. When a provider blocks crawlers or hides pricing behind intake, we say so. Not disclosed is a finding, and it feeds the Transparency Grade. Full methodology: editorial policy.
Quick facts
Monthly cost
From $99/mo
Consult fee
$99 Menopause Consult, including 3 months of care-team access; medication billed separately by your pharmacy [Verified July 2026]
States
All 50 states [Verified July 2026]
Insurance
Not accepted (cash pay)
Shipping
Prescriptions route to a local pharmacy for pickup; some products ship direct, with delivery in a couple of days [Verified July 2026]
Cancellation
One-time consult rather than a subscription, so there is no recurring charge to cancel. A written refund policy was not surfaced in this pass [Verified July 2026]
Where it wins
- FDA-approved estrogen and progesterone, no compounded line, in patch, suppository and topical forms [Verified July 2026, hellowisp.com/shop/menopause]
- Prescriptions fill at your own local pharmacy, so your insurance or the Wisp Discount Card can be applied to the medication cost, which no mail-order competitor in this wing allows [Verified July 2026]
- Flat $99 Menopause Consult published openly with no intake gate, and it includes 3 months of access to the care team [Verified July 2026]
- Available in all 50 states [Verified July 2026]
- Consult and prescribed treatments are HSA/FSA eligible [Verified July 2026]
- A single consult with no subscription attached, so there is no recurring charge to cancel [Verified July 2026]
- Estradiol vaginal cream from $20/mo for local symptoms, with a looser eligibility gate than the systemic line [Verified July 2026]
- Broad adjunct menu on the same account: hair loss (oral minoxidil from $36, spironolactone from $24), skincare, sleep and sexual health [Verified July 2026]
Where it lags
- The $99 headline is a consult fee, not a treatment price. Medication is billed separately by your pharmacy and Wisp publishes no estimate, so your true monthly cost cannot be computed before you buy [Verified July 2026]
- No baseline labs required and no lab testing offered before prescribing systemic hormones. Every other provider in this wing either requires or sells bloodwork [Verified July 2026, absence]
- No clinicians named and no credentials published. The site claims a 'certified menopause expert' but does not evidence it [Verified July 2026, absence]
- The published turnaround commitment is 72 hours for a treatment decision, slower than the sub-48-hour standard elsewhere in the wing, even though the site says most prescriptions reach the pharmacy within 3 hours [Verified July 2026]
- Wisp does not accept insurance for the consult itself, only for the medication at the pharmacy counter [Verified July 2026]
- Age-gated at 40 or older, or under 40 only after surgical removal of both ovaries and uterus, which excludes most early perimenopause [Verified July 2026]
- What happens after the 3-month care-team window is not priced anywhere, so ongoing annual cost is unknown [Verified July 2026, absence]
- Wisp's large public review base covers its birth control and sexual health lines, not menopause, so it earns no rating credit or penalty here [Reported]
The math
First-year cost & how Wisp compares
We do not quote a first-year total for Wisp. The $99 consult is verified and covers 3 months of care-team access, but the medication is dispensed and priced by your own pharmacy, and Wisp does not publish what a repeat consult costs after that window closes. Two of the three inputs are missing, so any annual figure would be invented. What we can say: the $99 is real and visible, and your drug cost is whatever your insurance or the Wisp Discount Card produces at the counter, which is the one line item in this wing you can actually shop.
| Provider | Entry | Year-1 est. | Score | Transparency |
|---|---|---|---|---|
| Wisp (reviewed) | $99/mo | n/a | 7.3/10 | B |
| Sesame Care | $99/mo | n/a | 7.6/10 | B |
| Winona | $54/mo | $1,068 | 8.4/10 | B |
| Telos RX | $129/mo | n/a | 6.9/10 | D |
Year-1 totals are our documented estimates from pricing as of July 24, 2026; each provider's assumption set is on its review page. Insurance, HSA/FSA, and promo pricing excluded. “n/a” means no defensible estimate exists yet. Full price breakdown: what HRT really costs.
Formulary
Medications & formats
Safety & legitimacy
The trust signals on Wisp
Six signals we check on every HRTreview. “Not disclosed” is itself a finding. It feeds the Transparency Grade.
Prescriber type
'Certified menopause expert' per Wisp; no clinicians named and no credentials published [Verified July 2026, absence]
Lab work
None required and none offered. Prescribing rests on self-reported history, current medications, allergies and, for some hormonal treatments, a blood pressure reading from the past year and the date of your last period [Verified July 2026]
HIPAA disclosure
Not independently assessed this pass. Check the privacy policy before intake
Support channels
Not catalogued this pass
Cancellation
One-time consult rather than a subscription, so there is no recurring charge to cancel. A written refund policy was not surfaced in this pass [Verified July 2026]
Medication status
FDA-approved brand medications
Numbers current as of July 24, 2026
Prices change. Confirm on Wisp's site before signing up.
Verdict
7.3/10Nothing here is hidden and you still cannot budget for it. That is the Wisp problem in one sentence. The pharmacy routing is a real advantage over the mail-order model that dominates this wing, and the FDA-approved formulary is a real advantage over Winona's compounded line. Against that: no baseline labs before systemic hormone therapy, which is the one we weigh most heavily, and no way to see who is prescribing for you. If your plan covers estradiol and micronized progesterone well, price it out before dismissing this, because the answer can beat providers ranked above it. If you want one number covering the care and the drugs together, Winona at $54/mo leads the wing.
Real customer feedback
What reviewers say about Wisp
Third-party signals only. We never write or source testimonials. “Not surfaced” means no public base was found in our verification pass.
Trustpilot
Not surfaced
No public profile found
BBB
Not surfaced
No public profile found
Not surfaced
No substantive threads found
Provider claim
None disclosed
Our reading
Not surfaced for the menopause line. Wisp carries a substantial public review base, but it reflects the birth control, STI and sexual health products that make up most of its business, not the menopause line. Under our relevance gate a platform-wide rating earns neither credit nor penalty, so Wisp receives no reputation adjustment in either direction. 'Not surfaced' here means we found no menopause-specific rating, not that we found a bad one.
Change log: what we've corrected on this review
- July 24, 2026Added to the women's wing at 7.3 (rank 5 of 8), Transparency B. Wisp discloses its own pricing better than anything else below rank 3, publishing a flat $99 consult with no intake gate, and it is the only provider here dispensing FDA-approved hormones through your local pharmacy where insurance applies. First drafted at the wing floor (6.8, rank 8) on the reasoning that the $99 excludes the medication and no labs are required before systemic hormones. Recomputing the evidence overruled that: Wisp scores a strict 4.6, the third-strongest floor in the wing, against Gala 2.8, Hers 2.7, Telos 2.5 and Inner Balance 1.4, so floor placement would have ranked a 4.6-evidence provider below a 1.4. Held below Hers (7.4) because Hers's $79 includes the hormones. Ranks 6 through 8 each shifted down one. Provisional; four disclosure criteria and the entire review picture are unverified this pass, so re-rank after a deeper crawl. New Katalys affiliate partner; the evidence moved it up, not the partnership.
This review is educational, not medical advice. Talk to a licensed clinician before starting, stopping, or changing hormone therapy.
Gala Health
Sesame Care